for Medical Necessity,
Audits & Denials
Mission
Our mission is to provide Patient Centered Total Quality Management solutions to healthcare organizations. We empower organizations to perform needs analysis and provide Medicare and Medicaid Medical Necessity Compliance, Managed Care and Commercial Admission Reviews and Denials Management.
Aerolib Healthcare Solutions helps healthcare organizations in developing both inpatient and outpatient care clinical documentation improvement programs to meet changing rules and regulations. Aerolib assists physicians and case managers with understanding the importance of predictability of adverse clinical events and how to document the preceding to accomplish appropriate bedding status.
Services
We believe that effective collaboration between all stakeholders is essential as changing payment models require an increased focus on population health management.
Physician Advisor Gap Coverage
100%Aerolib Analytics & Audit Risk Score
100%Aerolib Physician Dashboard
100%Clinical Documentation Improvement
100%Ambulatory Self Audits and Peer Reviews
100%Medicare and Medicaid Medical Necessity Compliance
100%Clinical Integration with Operations & Performance Management
100%
How we work...
Risk stratify your patient using Aerolib Audit Risk Score
Each clinical question regarding your patient maps to our database of risk factors. Natural language processing and machine learning are used to help bedding status determinations based on the symptoms the user provides.
Discuss case with Aerolib Physician Advisor
You can talk to a live Physician Advisor or schedule a call to discuss the case. Our providers will discuss summary of clinical events and At-Risk reimbursement based on DRG, and LOS using our Audit Risk Score.
Learn with Aerolib LMS
On-demand E-learning system for Clinical and Regulatory education for Physicians, Physician Advisors, Case managers, Utilization Review personnel and Hospital Administration that is based on Aerolib`s successful education methodology of Disease Specific Documentation Improvement.
Know About Us
Our philosophy...
Our mission is to empower healthcare organizations in achieving excellent patient care outcomes and regulatory compliance through financial planning, decision support and continuous clinical improvement.
- Medicare and Medicaid medical necessity compliance
- Managed care and commercial admission review and denials
- Assisting management with running a current needs analysis of the organization, and, based on current regulations
- Assists case management and utilization review departments with formulating defensible statement letters that review the patient globally.
Aerolib’s analytics process
- Assists healthcare institutions with developing new strategies to ensure ongoing regulatory compliance
- Provides new skills to participating healthcare providers
- Provides information to the case management and utilization teams for the purpose of developing a patient centered approach to total quality management.
Aerolib Dynamic Dashboards
Aerolib Healthcare Solutions provides Predictive and Prescriptive Analytics services to help you find hidden metrics in your Emergency Room Utilization data. Learn how each Emergency Room provider performs compared to peers and final disposition patterns of your providers.
Aerolib`s Healthcare Business Intelligence service enables us to perform advanced data ETL (Extraction-Transformation-Loading) to give your data a story to empower you to boost productivity, gain provider market intelligence, improve strategic awareness and turn Data into Actionable Information.
Aerolib Learning Management System
Aerolib Healthcare Solutions introduces Aerolib Learning Management System: An On-demand E-learning System for clinical and regulatory education for physicians, physician advisors, case managers, utilization review personnel and hospital administration, which is based upon Aerolib`s successful education methodology of disease specific documentation improvement.
Patient Centered Total Quality Management solutions
Aerolib Physician Dashboard
Healthcare Management Services
Revenue Cycle Management Consulting
Patient Centered Total Quality Management Consulting
Clinical Documentation Improvement
Physician Advisor Gap Coverage
Our focus
Aerolib Audit Risk score
Medicare and Medicaid Medical Necessity Compliance
Clinical Integration with operations and Clinical Performance Management
What Our Clients Say
Director of Case Mgmt. of a 423 bed hospital
We have been with Aerolib Healthcare Solutions for 5 years and continue to use their Physician Advisor Gap services and Payer contracting services. They have been involved with our payer negotiations and we are very pleased with the outcomes.
CMO of a 225 bed hospital
Aerolib has streamlined our concurrent review process with integration of utilization review, case management and hospitalist education with our electronic medical record.
Physician Advisor of 4 hospital system
Aerolib`s learning management system has been well received by our clinical staff with disease specific clinical and regulatory courses. I am impressed with the reporting mechanisms that help us track learning activity.
Registered Trademarks
Patient Centered Total Quality Management
Reg. No. 5295142
Aerolib
Reg. No. 5321345
Empowering Physician Advisors
Reg. No. 5668387
TeleUR
Reg. No. 6861281
ScExAn
Reg. No. 6969661